Certificates

Annual Benefits Enrollment for UT Dallas benefits-eligible employees opens Saturday,
July 15, 2017, and will continue through Monday, July 31, 2017.
During this period, you may enroll in or change your Plan Year 2017-2018 insurance
benefit elections, sign up for or re-enroll in UT FLEX, and add or remove dependents
from your coverage plan. Annual Benefits Enrollment period is a great opportunity
to review your existing benefits, learn what is new and make changes that meet
your needs.

By July 15, employees will begin receiving the Annual Enrollment Coverage
Option Letter from the UT System. This letter explains insurance options in detail
and contains your log-in PIN and instructions on enrolling online through My UT Benefits.
If you haven’t received your letter by Monday, July 25, please contact benefits@utdallas.edu.

Highlights of the Plan Year 2017-2018 benefit plan and changes:

Great News! There will be no rate increase for all UT Benefit Plans
in 2017-2018.

Dependent children are now eligible to stay enrolled in Dental, Vision and
Voluntary Life and AD&D coverage up to age 26 (previously was up to age
25). Dependents are still eligible to stay on UT Select Medical up to age 26.
Dependents who lost eligibility at age 25 previously and have not reached age 26
can be added to your coverage during the annual enrollment period, even if they
elected COBRA coverage.

There are no rate or plan changes for Voluntary Group
Term Life* [Group Term Life age-banded rate increases may apply to employees as applicable]
and Accidental Death and Dismemberment (AD&D [Accidental Death and Dismemberment] ),
Spouse Group Term Life* [Group Term Life age-banded rate increases may apply to employees as applicable] ,
Long- and Short-term Disability, UT SELECT Dental Basic
PPO [Preferred Provider Organization]
and UT SELECT Dental Plus
PPO [Preferred Provider Organization] ,
Delta Care Dental
HMO [Health Maintenance Organization] ,
Vision and Vision Plus Plans.

*Note: Group Term Life age-banded rate increases may apply
to employees as applicable.

If you choose not to elect the UT Select Medical Plan due to coverage under
another group health insurance program (i.e. spouse group medical coverage),
you may be eligible to receive the medical premium sharing of $299.07 per month
for full-time employees (30+ hours) or $149.54 per month for
part-time employees (20-29 hours) that may allow you to cover the cost
of dental, vision and
AD&D [Accidental Death and Dismemberment]
coverage. If you are not enrolling in the UT Select Medical Plan for this reason,
choose the “Waive This Coverage” option under the Medical
section, and make sure you select dental, vision and
AD&D [Accidental Death and Dismemberment] . After you record your elections, upload a proof of other insurance coverage
as noted on the “ACTION REQUIRED! Medical Waive Documentation”
online prompt.

If you do not wish to make changes to your coverage, your current insurance
elections, as listed in the Coverage Option Letter, will continue. However,
if you want to enroll in or continue participation in UT FLEX, you must make
that election online each year through My UT Benefits.

Faculty members who are paid over a nine-month period will pay insurance premiums,
including UT FLEX, over those nine months.
Nine-Month Rates(PDF [Portable Document Format File] ) are published on the UT Dallas HR Benefits web page.

The deadline for submitting Evidence of Insurability
(EOI [Evidence of Insurability] )
forms for Life and Disability insurance is August 15, 2017.

The effective date for coverage elected and approved during Annual Enrollment
is September 1, 2017.

While enrolling or making changes online, take the opportunity to review your
Total Rewards Statement available through My UT Benefits under the Total Compensation
tab. The statement demonstrates the total estimated annualized value of your salary
plus longevity and other state and UT Dallas benefits. The statements are personalized
and based on each individual’s estimated earnings and benefit selections
as of December 1, 2016.

In October 2017, review your first paycheck of the new fiscal year to ensure
that your coverage elections have been processed correctly. Notify benefits@utdallas.edu of any errors within 31 days of receiving
your paycheck.